China implemented its Action Plan of Air Pollution Prevention and Control(APAPPC)in 2013 as a major step in national air-quality management.This study treated the APAPPC as a quasi-experiment,drawing on the Grossman a...China implemented its Action Plan of Air Pollution Prevention and Control(APAPPC)in 2013 as a major step in national air-quality management.This study treated the APAPPC as a quasi-experiment,drawing on the Grossman and Cropper models,to examine how air pollution affected individual health capital and medical service demand.Using panel data from the China Health and Retirement Longitudinal Study for 2011,2013,2015,and 2018,the analysis applied a Heckman two-stage model and difference-in-differences estimation to identify the policy's effects on medical expenditure.The results showed that the APAPPC significantly reduced annual health spending,with stronger effects among women,older adults,and rural residents.The mechanism analysis indicated that the reduction in respiratory diseases played a key role.This study provides evidence that supports further airpollution control in China and offers useful insights for other developing countries.展开更多
BACKGROUND Drug utilization research has an important role in assisting the healthcare administration to know,compute,and refine the prescription whose principal objective is to enable the rational use of drugs.Resear...BACKGROUND Drug utilization research has an important role in assisting the healthcare administration to know,compute,and refine the prescription whose principal objective is to enable the rational use of drugs.Research in developing nations relating to the cost of treatment is scarce when compared with developed countries.Thus,the drug utilization research studies from developing nations are most needed,and their number has been growing.AIM To evaluate patterns of utilization of antipsychotic drugs and direct medical cost analysis in patients newly diagnosed with schizophrenia.METHODS The present study was observational in type and based on a retrospective cohort to evaluate patterns of utilization of antipsychotic drugs using World Health Organization(WHO)core prescribing indicators and anatomical therapeutic chemical/defined daily dose indicators.We also calculated direct medical costs for a period of 6 months.RESULTS This study has found that atypical antipsychotics are the mainstay of treatment for schizophrenia in every age group and subcategories of schizophrenia.The evaluation based on WHO prescribing indicators showed a low average number of drugs per prescription and low prescribing frequency of antipsychotics from the National List of Essential Medicines 2015 and the WHO Essential Medicines List 2019.The total mean drug cost of our study was 1396 Indian rupees.The total mean cost due to the investigation in our study was 1017.34 Indian rupees.Therefore,the total mean direct medical cost incurred on patients in our study was 4337.28 Indian rupees.CONCLUSION The information from the present study can be used for reviewing and updating treatment policy at the institutional level.展开更多
The new RE 6 EL from KARL MAYER brings a breath of fresh air to raschel fabric production.Nowadays textile companies increasingly need to produce small production runs and respond to market changes with instantaneous ...The new RE 6 EL from KARL MAYER brings a breath of fresh air to raschel fabric production.Nowadays textile companies increasingly need to produce small production runs and respond to market changes with instantaneous pattern changes in order to operate profitably–meaning they require machines that offer maximum flexibility,reliability and cost efficiency.KARL MAYER understands the challenges of the market and is launching its new RE 6 EL.The Raschel machine offers the core strengths of the classic RSE 6 EL and essentially the same performance parameters,but has been further cost-optimised largely due to local production advantages.This makes the newcomer an efficiency champion in production,especially when it comes to frequent pattern changes.展开更多
The new edition of the International Production Cost Comparison (IPCC) from ITMF has been published.The report benchmarks manufacturing costs for a range of textile products along the primary textile value chain,disag...The new edition of the International Production Cost Comparison (IPCC) from ITMF has been published.The report benchmarks manufacturing costs for a range of textile products along the primary textile value chain,disaggregated by key cost components at each production stage.展开更多
The ease of accessing a virtually unlimited pool of resources makes Infrastructure as a Service (IaaS) clouds an ideal platform for running data-intensive workflow applications comprising hundreds of computational tas...The ease of accessing a virtually unlimited pool of resources makes Infrastructure as a Service (IaaS) clouds an ideal platform for running data-intensive workflow applications comprising hundreds of computational tasks. However, executing scientific workflows in IaaS cloud environments poses significant challenges due to conflicting objectives, such as minimizing execution time (makespan) and reducing resource utilization costs. This study responds to the increasing need for efficient and adaptable optimization solutions in dynamic and complex environments, which are critical for meeting the evolving demands of modern users and applications. This study presents an innovative multi-objective approach for scheduling scientific workflows in IaaS cloud environments. The proposed algorithm, MOS-MWMC, aims to minimize total execution time (makespan) and resource utilization costs by leveraging key features of virtual machine instances, such as a high number of cores and fast local SSD storage. By integrating realistic simulations based on the WRENCH framework, the method effectively dimensions the cloud infrastructure and optimizes resource usage. Experimental results highlight the superiority of MOS-MWMC compared to benchmark algorithms HEFT and Max-Min. The Pareto fronts obtained for the CyberShake, Epigenomics, and Montage workflows demonstrate closer proximity to the optimal front, confirming the algorithm’s ability to balance conflicting objectives. This study contributes to optimizing scientific workflows in complex environments by providing solutions tailored to specific user needs while minimizing costs and execution times.展开更多
This study focuses on Chinese social media platforms(Weibo and Douyin),adopting a mixed-methods approach combining quantitative and qualitative research to explore patterns of code-switching in online language and its...This study focuses on Chinese social media platforms(Weibo and Douyin),adopting a mixed-methods approach combining quantitative and qualitative research to explore patterns of code-switching in online language and its role in identity negotiation among internet users.Quantitative analysis of 208 valid questionnaires and subsequent qualitative discourse analysis reveal that 83%of users unconsciously engage in Chinese-English code-switching,primarily demonstrating intra-sentential switching patterns where English words embed as salient“figures”against the Chinese“ground.”Results of the Chi-square test indicate significant correlations between code-switching frequency,types,and users’identity dimensions(p<0.05).Data identified three identity functions:cultural belonging,in-group signaling,and persona curation.The study confirms that code-switching in digital contexts has transcended the level of linguistic efficiency to become an important social infrastructure for internet users to construct their identities.展开更多
In China,electric vehicle(EV)fast-charging power has quadrupled in the past five years,progressing toward 10-minute ultrafast charging.This rapid increase raises concerns about the impact on the power grid including i...In China,electric vehicle(EV)fast-charging power has quadrupled in the past five years,progressing toward 10-minute ultrafast charging.This rapid increase raises concerns about the impact on the power grid including increased peak power demand and the need for substantial upgrades to power infrastruc-ture.Here,we introduce an integrated model to assess fast and ultrafast charging impacts for represen-tative charging stations in China,combining real-world charging patterns and detailed station optimization models.We find that larger stations with 12 or more chargers experience modest peak power increases of less than 30%when fast-charging power is doubled,primarily because shorter charg-ing sessions are less likely to overlap.For more typical stations(e.g.,8-9 chargers and 120 kW·charger^(−1)),upgrading chargers to 350-550 kW while allowing managed dynamic waiting strategies(of∼1 minute)can reduce overall charging times to∼9 minutes.At stations,deploying battery storage and/or expanding transformers can help manage future increases in station loads,yet the primary device cost of the former is∼4 times higher than that of the latter.Our results offer insights for charging infrastructure planning,EV-grid interactions,and associated policymaking.展开更多
Plants are continuously exposed to abiotic and biotic stresses that threaten their growth,reproduction,and survival.Adaptation to these stresses requires complex regulatory networks that coordinate physiological,molec...Plants are continuously exposed to abiotic and biotic stresses that threaten their growth,reproduction,and survival.Adaptation to these stresses requires complex regulatory networks that coordinate physiological,molecular,and ecological responses.However,such adaptation often incurs significant costs,including reduced growth,yield penalties,and altered ecological interactions.This review systematically synthesizes recent advances published between 2018 and 2025,following PRISMA criteria,on plant responses to abiotic and biotic stressors,with an emphasis on the trade-offs between adaptation and productivity.It also highlights major discrepancies in the literature and discusses strategies for enhancing plant stress tolerance in agriculture.By integrating findings from genomics,transcriptomics,proteomics,and metabolomics,the review categorizes both mechanistic insights and ecological consequences.The findings underscore the need for multi-stress,systems-level,field-based research that connects molecular processes to ecological and agricultural outcomes.Accordingly,critical gaps are identified—particularly the scarcity of multi-stress and field-based studies—and future directions that integrate omics approaches,systems biology,and eco-physiological frameworks are proposed.Understanding the costs of adaptation is essential not only for breeding resilient,high-yielding crops but also for ensuring their successful incorporation into sustainable agricultural practices under changing climate conditions.展开更多
With the increasingly serious environmental problems,the use of sustainable materials is particularly important.This study focuses on the greenhouse gas emissions and economic costs of wood over its life cycle as a su...With the increasingly serious environmental problems,the use of sustainable materials is particularly important.This study focuses on the greenhouse gas emissions and economic costs of wood over its life cycle as a sustainable resource.We use a systematic life cycle assessment(LCA)approach to assess the entire process from raw material collection,processing,use to disposal.The study found that using wood can significantly reduce greenhouse gas emissions compared to traditional building materials such as steel and concrete.In addition,although the initial procurement costs of wood may be higher,its maintenance costs are lower in the long run,making the life cycle costs generally more economical.The results of this study highlight the environmental and economic advantages of wood in the selection of sustainable building materials,and provide a scientific basis for promoting the use of wood.展开更多
Background:The Indian healthcare sector has undergone significant transformations due to private equity(PE)investments.The influx of capital has facilitated the expansion of infrastructure and improvement in services,...Background:The Indian healthcare sector has undergone significant transformations due to private equity(PE)investments.The influx of capital has facilitated the expansion of infrastructure and improvement in services,particularly in urban and semi-urban areas.However,this transformation raises critical concerns regarding equity in healthcare access,rising health costs,and the potential commercialization of healthcare services.Methods:Employing a critical political economy approach,this study examines the effects of PE investments in Indian healthcare.It integrates theories from Antonio Gramsci,David Harvey and Nancy Fraser to analyze the implications of these investments.The research draws on secondary data from industry reports,government statistics and academic literature to assess the trends,impacts and policy responses related to PE in healthcare.Results:PE investments have led to increased privatization,rising healthcare costs and a focus on profit-driven models.Despite expanding infrastructure,access to quality healthcare remains inequitable,particularly for marginalized and rural populations.The analysis highlights the tension between capital accumulation and public health needs,showing how PE investments prioritize profitability over equity.The commodification of healthcare reflects broader neoliberal policies that undermine public health objectives and exacerbate inequalities.Conclusion:While PE investments drive innovation and expansion,they also pose challenges to affordability and equitable access.Policy interventions are necessary to regulate PE investments and ensure that healthcare remains accessible and equitable for all.展开更多
To study on the effect of clinical pathway （CP） on controlling pharmaceutical costs, we selected complex, chronic, non-communicable diseases, including cerebral infarction, cerebral hemorrhage, transient ischemic at...To study on the effect of clinical pathway （CP） on controlling pharmaceutical costs, we selected complex, chronic, non-communicable diseases, including cerebral infarction, cerebral hemorrhage, transient ischemic attack, and chronic obstructive pulmonary disease, as diseases to implement clinical pathways at a tertiary hospital in Qingdao. We then conducted intermittent time series analysis on pharmaceutical costs. After the implementation of clinical pathway, overall pharmaceutical costs of patients with transient ischemic attack reduced significantly. The effect was not significant for cerebral hemorrhage patients. The implementation of clinical pathway has a desirable outcome on controlling pharmaceutical costs.展开更多
The collector managed inventory(CMI)management idea is introduced based on the comparison of manufacturer and third-party logistics(3PL)implementing vendor managed inventory(VMI)services.Considering recovery costs,the...The collector managed inventory(CMI)management idea is introduced based on the comparison of manufacturer and third-party logistics(3PL)implementing vendor managed inventory(VMI)services.Considering recovery costs,the service pricing strategies for 3PL corporations implementing VMI are studied to meet two conditions of participation constraints and incentive-compatibility constraints.The numerical simulation results indicate that the supply chain partners' profits change after considering recovery costs,and the 3PL corporation's profits and the total profits increase first,and then decrease.The retailers' and manufacturers' profits also increase.The total profits of the supply chain have a characteristic of increasing first and then decreasing with the increase of the callback ratio of unsold products.The concrete extremum point is codetermined by price flexibility,service pricing of the 3PL corporation,callback price and callback ratio.展开更多
Code-switching between English and Chinese usually occurs in students' talk when they are involved in taking communicative language activities in college English class. This paper studies the situations in which s...Code-switching between English and Chinese usually occurs in students' talk when they are involved in taking communicative language activities in college English class. This paper studies the situations in which students are likely to use codeswitching and analyzes it from the perspective of the mental world in Verscheren's Adaptation Theory. It shows that inadequate mastery of English language, cultural differences and the improper adjustment to context may lead to students' using of codeswitching. It also shows that the use of code-switching in students' talk adapts to students' cognitive elements and emotive elements as well.展开更多
This paper is designed to investigate the teachers'code-switching used in English instruction in vocational colleges and wants to make some efforts to the better understanding and use of code-switching and develop...This paper is designed to investigate the teachers'code-switching used in English instruction in vocational colleges and wants to make some efforts to the better understanding and use of code-switching and develop a positive attitude towards the code-switching in English teaching classroom.展开更多
The paper will discuss the process of code-switching and its cognitive pragmatic motivation from the point of relevance.And code-switching is also regarded as a kind of communicative strategy.The process of the produc...The paper will discuss the process of code-switching and its cognitive pragmatic motivation from the point of relevance.And code-switching is also regarded as a kind of communicative strategy.The process of the production of code-switching is also the cooperation and mutual constrain of communicator’s cognitive environment and ability.Cognitive effect can be obtained through communicator’s processing cognitive environment with their cognitive ability.In this process,the cooperation of cognitive ability and cognitive environment gives a guarantee to successful communication with code-switching.展开更多
In the past 30 years, code-switching has been a focus in the field of linguistics in western countries. Researchers stud?ied it from different angles and have made a lot of findings.However, the researchers in China b...In the past 30 years, code-switching has been a focus in the field of linguistics in western countries. Researchers stud?ied it from different angles and have made a lot of findings.However, the researchers in China begin their studies on this issue un?til the last decade. Thus,the relevent empirical studies were less and most of them only use students from the classrooms in the sec?ondary schools or the undergraduates in the universities as the subjects.They paid little attention to the EFL classrooms in the vo?cational colleges. Vocational college students are poor in English foundation. English teachers can not finish their teaching mission in English classroom, so the use of code-switching becomes a very common phenomenon in EFL class of vocational college. In order to make teaching and learning promote and enhance each other, according to previous research findings, this paper do a fur?ther study about the teachers' use of code switching in the vocational college English intensive reading classes in China.展开更多
people used to be negative on the use of code-switching in English foreign language classroom.However,more and moreresearches begin to argue that code-switching does have its practical significance.Some basic concepts...people used to be negative on the use of code-switching in English foreign language classroom.However,more and moreresearches begin to argue that code-switching does have its practical significance.Some basic concepts of code-switching will first-ly be introduced in the article.Then,there is a literature review of the previous studies on the code-switching in English foreignlanguage class.By exposing detailed researches on it,some implications for teaching pedagogy will be explicated.From differentperspectives of the use of code-switching,this article aims to explore the necessity of code-switching in a context of foreign lan-guage teaching classroom by presenting some latest researches on it and reviewing different views on the use of code-switching inEnglish Foreign Language class.展开更多
AIM:To compare laparoscopic pancreaticoduodenectomy(TLPD) during the initial learning curve with open pancreaticoduodenectomy in terms of outcome and costs.METHODS:This is a retrospective review of the consecutive pat...AIM:To compare laparoscopic pancreaticoduodenectomy(TLPD) during the initial learning curve with open pancreaticoduodenectomy in terms of outcome and costs.METHODS:This is a retrospective review of the consecutive patients who underwent TLPD between December 2009 and April 2014 at our institution.The experiences of the initial 15 consecutive TLPD cases,considered as the initial learning curve of each surgeon,were compared with the same number of consecutive laparotomy cases with the same spectrum of diseases in terms of outcome and costs.Laparoscopic patients with conversion to open surgery were excluded.Preoperative demographic and comorbidity data were obtained.Postoperative data on intestinal movement,pain score,mortality,complications,and costs were obtained for analysis.Complications related to surgery included pneumonia, intra-abdominal abscess,postpancreatectomy hemorrhage,biliary leak,pancreatic fistula,delayed gastric emptying,and multiple organ dysfunction syndrome.The total costs consisted of cost of surgery,anesthesia,and admission examination.RESULTS:A total of 60 patients,including 30 consecutive laparoscopic cases and 30 consecutive open cases,were enrolled for review.Demographic and comorbidity characteristics of the two groups were similar.TLPD required a significantly longer operative time(513.17 ± 56.13 min vs 371.67 ± 85.53 min,P < 0.001).The TLPD group had significantly fewer mean numbers of days until bowel sounds returned(2.03 ± 0.55 d vs 3.83 ± 0.59 d,P < 0.001) and exhaustion(4.17 ± 0.75 d vs 5.37 ± 0.81 d,P < 0.001).The mean visual analogue score on postoperative day 4 was less in the TLPD group(3.5 ± 9.7 vs 4.47 ± 1.11,P < 0.05).No differences in surgery-related morbidities and mortality were observed between the two groups.Patients in the TLPD group recovered more quickly and required a shorter hospital stay after surgery(9.97 ± 3.74 d vs 11.87 ± 4.72 d,P < 0.05).A significant difference in the total cost was found between the two groups(TLPD 81317.43 ± 2027.60 RMB vs laparotomy 78433.23 ± 5788.12 RMB,P < 0.05).TLPD had a statistically higher cost for both surgery(24732.13 ± 929.28 RMB vs 19317.53 ± 795.94 RMB,P < 0.001)and anesthesia(6192.37 ± 272.77 RMB vs 5184.10 ± 146.93 RMB,P < 0.001),but a reduced cost for admission examination(50392.93 ± 1761.22 RMB vs 53931.60 ± 5556.94 RMB,P < 0.05).CONCLUSION:TLPD is safe when performed by experienced pancreatobiliary surgeons during the initial learning curve,but has a higher cost than open pancreaticoduodenectomy.展开更多
This paper analyzes the corn production cost in China, the U.S. and Brazil from 1997 to 2014. According to the results,（1） corn production cost in China is the highest among these three countries;（2） the rapid gro...This paper analyzes the corn production cost in China, the U.S. and Brazil from 1997 to 2014. According to the results,（1） corn production cost in China is the highest among these three countries;（2） the rapid growth of labor cost and land cost is the major factor that promotes the increase of total corn production cost in China;（3） the level of agricultural mechanization in China has been gradually improving, and the gap between agricultural mechanization levels in China and other two countries is constantly narrowing;（4） differing from the U.S. and Brazil,China exhibits a ＂high input, low output＂ agricultural production mode. Based on the above analyses, corresponding suggestions have been presented to reduce corn production cost in China.展开更多
基金Natural Science Foundation of Hubei Province(No.2025AFC041).
文摘China implemented its Action Plan of Air Pollution Prevention and Control(APAPPC)in 2013 as a major step in national air-quality management.This study treated the APAPPC as a quasi-experiment,drawing on the Grossman and Cropper models,to examine how air pollution affected individual health capital and medical service demand.Using panel data from the China Health and Retirement Longitudinal Study for 2011,2013,2015,and 2018,the analysis applied a Heckman two-stage model and difference-in-differences estimation to identify the policy's effects on medical expenditure.The results showed that the APAPPC significantly reduced annual health spending,with stronger effects among women,older adults,and rural residents.The mechanism analysis indicated that the reduction in respiratory diseases played a key role.This study provides evidence that supports further airpollution control in China and offers useful insights for other developing countries.
文摘BACKGROUND Drug utilization research has an important role in assisting the healthcare administration to know,compute,and refine the prescription whose principal objective is to enable the rational use of drugs.Research in developing nations relating to the cost of treatment is scarce when compared with developed countries.Thus,the drug utilization research studies from developing nations are most needed,and their number has been growing.AIM To evaluate patterns of utilization of antipsychotic drugs and direct medical cost analysis in patients newly diagnosed with schizophrenia.METHODS The present study was observational in type and based on a retrospective cohort to evaluate patterns of utilization of antipsychotic drugs using World Health Organization(WHO)core prescribing indicators and anatomical therapeutic chemical/defined daily dose indicators.We also calculated direct medical costs for a period of 6 months.RESULTS This study has found that atypical antipsychotics are the mainstay of treatment for schizophrenia in every age group and subcategories of schizophrenia.The evaluation based on WHO prescribing indicators showed a low average number of drugs per prescription and low prescribing frequency of antipsychotics from the National List of Essential Medicines 2015 and the WHO Essential Medicines List 2019.The total mean drug cost of our study was 1396 Indian rupees.The total mean cost due to the investigation in our study was 1017.34 Indian rupees.Therefore,the total mean direct medical cost incurred on patients in our study was 4337.28 Indian rupees.CONCLUSION The information from the present study can be used for reviewing and updating treatment policy at the institutional level.
文摘The new RE 6 EL from KARL MAYER brings a breath of fresh air to raschel fabric production.Nowadays textile companies increasingly need to produce small production runs and respond to market changes with instantaneous pattern changes in order to operate profitably–meaning they require machines that offer maximum flexibility,reliability and cost efficiency.KARL MAYER understands the challenges of the market and is launching its new RE 6 EL.The Raschel machine offers the core strengths of the classic RSE 6 EL and essentially the same performance parameters,but has been further cost-optimised largely due to local production advantages.This makes the newcomer an efficiency champion in production,especially when it comes to frequent pattern changes.
文摘The new edition of the International Production Cost Comparison (IPCC) from ITMF has been published.The report benchmarks manufacturing costs for a range of textile products along the primary textile value chain,disaggregated by key cost components at each production stage.
文摘The ease of accessing a virtually unlimited pool of resources makes Infrastructure as a Service (IaaS) clouds an ideal platform for running data-intensive workflow applications comprising hundreds of computational tasks. However, executing scientific workflows in IaaS cloud environments poses significant challenges due to conflicting objectives, such as minimizing execution time (makespan) and reducing resource utilization costs. This study responds to the increasing need for efficient and adaptable optimization solutions in dynamic and complex environments, which are critical for meeting the evolving demands of modern users and applications. This study presents an innovative multi-objective approach for scheduling scientific workflows in IaaS cloud environments. The proposed algorithm, MOS-MWMC, aims to minimize total execution time (makespan) and resource utilization costs by leveraging key features of virtual machine instances, such as a high number of cores and fast local SSD storage. By integrating realistic simulations based on the WRENCH framework, the method effectively dimensions the cloud infrastructure and optimizes resource usage. Experimental results highlight the superiority of MOS-MWMC compared to benchmark algorithms HEFT and Max-Min. The Pareto fronts obtained for the CyberShake, Epigenomics, and Montage workflows demonstrate closer proximity to the optimal front, confirming the algorithm’s ability to balance conflicting objectives. This study contributes to optimizing scientific workflows in complex environments by providing solutions tailored to specific user needs while minimizing costs and execution times.
文摘This study focuses on Chinese social media platforms(Weibo and Douyin),adopting a mixed-methods approach combining quantitative and qualitative research to explore patterns of code-switching in online language and its role in identity negotiation among internet users.Quantitative analysis of 208 valid questionnaires and subsequent qualitative discourse analysis reveal that 83%of users unconsciously engage in Chinese-English code-switching,primarily demonstrating intra-sentential switching patterns where English words embed as salient“figures”against the Chinese“ground.”Results of the Chi-square test indicate significant correlations between code-switching frequency,types,and users’identity dimensions(p<0.05).Data identified three identity functions:cultural belonging,in-group signaling,and persona curation.The study confirms that code-switching in digital contexts has transcended the level of linguistic efficiency to become an important social infrastructure for internet users to construct their identities.
基金the support of the National Natural Science Foundation of China(72325006,72488101,and 72293601)the Sze Family Foundationthe Climate Imperative Foundation(#2024-001465)
文摘In China,electric vehicle(EV)fast-charging power has quadrupled in the past five years,progressing toward 10-minute ultrafast charging.This rapid increase raises concerns about the impact on the power grid including increased peak power demand and the need for substantial upgrades to power infrastruc-ture.Here,we introduce an integrated model to assess fast and ultrafast charging impacts for represen-tative charging stations in China,combining real-world charging patterns and detailed station optimization models.We find that larger stations with 12 or more chargers experience modest peak power increases of less than 30%when fast-charging power is doubled,primarily because shorter charg-ing sessions are less likely to overlap.For more typical stations(e.g.,8-9 chargers and 120 kW·charger^(−1)),upgrading chargers to 350-550 kW while allowing managed dynamic waiting strategies(of∼1 minute)can reduce overall charging times to∼9 minutes.At stations,deploying battery storage and/or expanding transformers can help manage future increases in station loads,yet the primary device cost of the former is∼4 times higher than that of the latter.Our results offer insights for charging infrastructure planning,EV-grid interactions,and associated policymaking.
文摘Plants are continuously exposed to abiotic and biotic stresses that threaten their growth,reproduction,and survival.Adaptation to these stresses requires complex regulatory networks that coordinate physiological,molecular,and ecological responses.However,such adaptation often incurs significant costs,including reduced growth,yield penalties,and altered ecological interactions.This review systematically synthesizes recent advances published between 2018 and 2025,following PRISMA criteria,on plant responses to abiotic and biotic stressors,with an emphasis on the trade-offs between adaptation and productivity.It also highlights major discrepancies in the literature and discusses strategies for enhancing plant stress tolerance in agriculture.By integrating findings from genomics,transcriptomics,proteomics,and metabolomics,the review categorizes both mechanistic insights and ecological consequences.The findings underscore the need for multi-stress,systems-level,field-based research that connects molecular processes to ecological and agricultural outcomes.Accordingly,critical gaps are identified—particularly the scarcity of multi-stress and field-based studies—and future directions that integrate omics approaches,systems biology,and eco-physiological frameworks are proposed.Understanding the costs of adaptation is essential not only for breeding resilient,high-yielding crops but also for ensuring their successful incorporation into sustainable agricultural practices under changing climate conditions.
文摘With the increasingly serious environmental problems,the use of sustainable materials is particularly important.This study focuses on the greenhouse gas emissions and economic costs of wood over its life cycle as a sustainable resource.We use a systematic life cycle assessment(LCA)approach to assess the entire process from raw material collection,processing,use to disposal.The study found that using wood can significantly reduce greenhouse gas emissions compared to traditional building materials such as steel and concrete.In addition,although the initial procurement costs of wood may be higher,its maintenance costs are lower in the long run,making the life cycle costs generally more economical.The results of this study highlight the environmental and economic advantages of wood in the selection of sustainable building materials,and provide a scientific basis for promoting the use of wood.
文摘Background:The Indian healthcare sector has undergone significant transformations due to private equity(PE)investments.The influx of capital has facilitated the expansion of infrastructure and improvement in services,particularly in urban and semi-urban areas.However,this transformation raises critical concerns regarding equity in healthcare access,rising health costs,and the potential commercialization of healthcare services.Methods:Employing a critical political economy approach,this study examines the effects of PE investments in Indian healthcare.It integrates theories from Antonio Gramsci,David Harvey and Nancy Fraser to analyze the implications of these investments.The research draws on secondary data from industry reports,government statistics and academic literature to assess the trends,impacts and policy responses related to PE in healthcare.Results:PE investments have led to increased privatization,rising healthcare costs and a focus on profit-driven models.Despite expanding infrastructure,access to quality healthcare remains inequitable,particularly for marginalized and rural populations.The analysis highlights the tension between capital accumulation and public health needs,showing how PE investments prioritize profitability over equity.The commodification of healthcare reflects broader neoliberal policies that undermine public health objectives and exacerbate inequalities.Conclusion:While PE investments drive innovation and expansion,they also pose challenges to affordability and equitable access.Policy interventions are necessary to regulate PE investments and ensure that healthcare remains accessible and equitable for all.
文摘To study on the effect of clinical pathway （CP） on controlling pharmaceutical costs, we selected complex, chronic, non-communicable diseases, including cerebral infarction, cerebral hemorrhage, transient ischemic attack, and chronic obstructive pulmonary disease, as diseases to implement clinical pathways at a tertiary hospital in Qingdao. We then conducted intermittent time series analysis on pharmaceutical costs. After the implementation of clinical pathway, overall pharmaceutical costs of patients with transient ischemic attack reduced significantly. The effect was not significant for cerebral hemorrhage patients. The implementation of clinical pathway has a desirable outcome on controlling pharmaceutical costs.
基金The National Key Technology R&D Program of China during the11th Five-Year Plan Period(No.2006BAH02A06).
文摘The collector managed inventory(CMI)management idea is introduced based on the comparison of manufacturer and third-party logistics(3PL)implementing vendor managed inventory(VMI)services.Considering recovery costs,the service pricing strategies for 3PL corporations implementing VMI are studied to meet two conditions of participation constraints and incentive-compatibility constraints.The numerical simulation results indicate that the supply chain partners' profits change after considering recovery costs,and the 3PL corporation's profits and the total profits increase first,and then decrease.The retailers' and manufacturers' profits also increase.The total profits of the supply chain have a characteristic of increasing first and then decreasing with the increase of the callback ratio of unsold products.The concrete extremum point is codetermined by price flexibility,service pricing of the 3PL corporation,callback price and callback ratio.
文摘Code-switching between English and Chinese usually occurs in students' talk when they are involved in taking communicative language activities in college English class. This paper studies the situations in which students are likely to use codeswitching and analyzes it from the perspective of the mental world in Verscheren's Adaptation Theory. It shows that inadequate mastery of English language, cultural differences and the improper adjustment to context may lead to students' using of codeswitching. It also shows that the use of code-switching in students' talk adapts to students' cognitive elements and emotive elements as well.
文摘This paper is designed to investigate the teachers'code-switching used in English instruction in vocational colleges and wants to make some efforts to the better understanding and use of code-switching and develop a positive attitude towards the code-switching in English teaching classroom.
文摘The paper will discuss the process of code-switching and its cognitive pragmatic motivation from the point of relevance.And code-switching is also regarded as a kind of communicative strategy.The process of the production of code-switching is also the cooperation and mutual constrain of communicator’s cognitive environment and ability.Cognitive effect can be obtained through communicator’s processing cognitive environment with their cognitive ability.In this process,the cooperation of cognitive ability and cognitive environment gives a guarantee to successful communication with code-switching.
文摘In the past 30 years, code-switching has been a focus in the field of linguistics in western countries. Researchers stud?ied it from different angles and have made a lot of findings.However, the researchers in China begin their studies on this issue un?til the last decade. Thus,the relevent empirical studies were less and most of them only use students from the classrooms in the sec?ondary schools or the undergraduates in the universities as the subjects.They paid little attention to the EFL classrooms in the vo?cational colleges. Vocational college students are poor in English foundation. English teachers can not finish their teaching mission in English classroom, so the use of code-switching becomes a very common phenomenon in EFL class of vocational college. In order to make teaching and learning promote and enhance each other, according to previous research findings, this paper do a fur?ther study about the teachers' use of code switching in the vocational college English intensive reading classes in China.
文摘people used to be negative on the use of code-switching in English foreign language classroom.However,more and moreresearches begin to argue that code-switching does have its practical significance.Some basic concepts of code-switching will first-ly be introduced in the article.Then,there is a literature review of the previous studies on the code-switching in English foreignlanguage class.By exposing detailed researches on it,some implications for teaching pedagogy will be explicated.From differentperspectives of the use of code-switching,this article aims to explore the necessity of code-switching in a context of foreign lan-guage teaching classroom by presenting some latest researches on it and reviewing different views on the use of code-switching inEnglish Foreign Language class.
文摘AIM:To compare laparoscopic pancreaticoduodenectomy(TLPD) during the initial learning curve with open pancreaticoduodenectomy in terms of outcome and costs.METHODS:This is a retrospective review of the consecutive patients who underwent TLPD between December 2009 and April 2014 at our institution.The experiences of the initial 15 consecutive TLPD cases,considered as the initial learning curve of each surgeon,were compared with the same number of consecutive laparotomy cases with the same spectrum of diseases in terms of outcome and costs.Laparoscopic patients with conversion to open surgery were excluded.Preoperative demographic and comorbidity data were obtained.Postoperative data on intestinal movement,pain score,mortality,complications,and costs were obtained for analysis.Complications related to surgery included pneumonia, intra-abdominal abscess,postpancreatectomy hemorrhage,biliary leak,pancreatic fistula,delayed gastric emptying,and multiple organ dysfunction syndrome.The total costs consisted of cost of surgery,anesthesia,and admission examination.RESULTS:A total of 60 patients,including 30 consecutive laparoscopic cases and 30 consecutive open cases,were enrolled for review.Demographic and comorbidity characteristics of the two groups were similar.TLPD required a significantly longer operative time(513.17 ± 56.13 min vs 371.67 ± 85.53 min,P < 0.001).The TLPD group had significantly fewer mean numbers of days until bowel sounds returned(2.03 ± 0.55 d vs 3.83 ± 0.59 d,P < 0.001) and exhaustion(4.17 ± 0.75 d vs 5.37 ± 0.81 d,P < 0.001).The mean visual analogue score on postoperative day 4 was less in the TLPD group(3.5 ± 9.7 vs 4.47 ± 1.11,P < 0.05).No differences in surgery-related morbidities and mortality were observed between the two groups.Patients in the TLPD group recovered more quickly and required a shorter hospital stay after surgery(9.97 ± 3.74 d vs 11.87 ± 4.72 d,P < 0.05).A significant difference in the total cost was found between the two groups(TLPD 81317.43 ± 2027.60 RMB vs laparotomy 78433.23 ± 5788.12 RMB,P < 0.05).TLPD had a statistically higher cost for both surgery(24732.13 ± 929.28 RMB vs 19317.53 ± 795.94 RMB,P < 0.001)and anesthesia(6192.37 ± 272.77 RMB vs 5184.10 ± 146.93 RMB,P < 0.001),but a reduced cost for admission examination(50392.93 ± 1761.22 RMB vs 53931.60 ± 5556.94 RMB,P < 0.05).CONCLUSION:TLPD is safe when performed by experienced pancreatobiliary surgeons during the initial learning curve,but has a higher cost than open pancreaticoduodenectomy.
文摘This paper analyzes the corn production cost in China, the U.S. and Brazil from 1997 to 2014. According to the results,（1） corn production cost in China is the highest among these three countries;（2） the rapid growth of labor cost and land cost is the major factor that promotes the increase of total corn production cost in China;（3） the level of agricultural mechanization in China has been gradually improving, and the gap between agricultural mechanization levels in China and other two countries is constantly narrowing;（4） differing from the U.S. and Brazil,China exhibits a ＂high input, low output＂ agricultural production mode. Based on the above analyses, corresponding suggestions have been presented to reduce corn production cost in China.
